Active NPI
Timothy Cliffton Sorrells, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Camp Lejeune, NC
National Provider Identifier
1801876263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 14825
- Practice address
- Naval Hospital 100 Brewster Blvd
Laboratory Department
Camp Lejeune, NC 28547 - Phone
- (910) 450-3366
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | 14825 | AL | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 14825 | AL | Primary |
Addresses
Primary practice location
Naval Hospital 100 Brewster Blvd
Laboratory Department
Camp Lejeune, NC 28547
Mailing address
Naval Hospital 100 Brewster Blvd
Laboratory Department
Camp Lejeune, NC 28547
Phone (910) 459-3366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14825 | AL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262822400000",
"number": "1801876263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL 100 BREWSTER BLVD",
"address_2": "LABORATORY DEPARTMENT",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "28547",
"telephone_number": "910-459-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL 100 BREWSTER BLVD",
"address_2": "LABORATORY DEPARTMENT",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "28547",
"telephone_number": "910-450-3366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRELLS",
"first_name": "TIMOTHY",
"middle_name": "CLIFFTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-20",
"last_updated": "2010-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "AL",
"license": "14825",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "AL",
"license": "14825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.